Thelicia Mata, APRN-CNP
NPI 1063391845 · Acute Care Nurse Practitioner · San Antonio, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thelicia Mata, APRN-CNP is a Acute Care Nurse Practitioner provider in San Antonio, TX (NPI 1063391845).
Provider details
- NPI number
- 1063391845
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1210733 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-08-27
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Thelicia Mata's NPI number?
- Thelicia Mata's National Provider Identifier (NPI) is 1063391845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thelicia Mata's specialty?
- Thelicia Mata is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Thelicia Mata located?
- Thelicia Mata's practice location on file with NPPES is 4502 Medical Dr, San Antonio, TX 78229-4402.
- What is Thelicia Mata's phone number?
- The practice phone number listed in the NPPES registry for Thelicia Mata is (210) 743-0670.
- Does Thelicia Mata accept Medicare?
- Thelicia Mata is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thelicia Mata's NPI active?
- Yes — Thelicia Mata's NPI (1063391845) is active in the NPPES registry as of the last update on 2025-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.